Mark L Prendergast, MD - Otolaryngology in Statesville, NC

Mark L Prendergast, MD is a Otolaryngology physician based in Statesville, North Carolina. Mark L Prendergast is licensed to practice in North Carolina (license number 31358) and his current practice location is 707 Bryant St, Statesville, North Carolina. He can be reached at his office (for appointments etc.) via phone at (704) 873-5224.

NPI number for Mark L Prendergast is 1255322681 and his current mailing address is 650 Signal Hill Drive Ext, Po Box 1845, Statesville, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255322681.

Contact Information

Mark L Prendergast, MD
707 Bryant St,
Statesville, NC 28677-4142
(704) 873-5224
Not Available



Physician's Profile

Full NameMark L Prendergast
GenderMale
SpecialityOtolaryngology
Location707 Bryant St, Statesville, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255322681
  • Provider Enumeration Date: 11/03/2005
  • Last Update Date: 01/25/2008

Medical Identifiers

Medical identifiers for Mark L Prendergast such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255322681NPI-NPPES
8966734MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 31358 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark L Prendergast is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mark L Prendergast, MD
650 Signal Hill Drive Ext, Po Box 1845,
Statesville, NC 28625-4353

Ph: (704) 873-4277
Mark L Prendergast, MD
707 Bryant St,
Statesville, NC 28677-4142

Ph: (704) 873-5224

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Otolaryngology Doctors in Statesville, NC

Alan E Deddens, M.D.
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 707 Bryant St, Statesville, NC 28677
Phone: 704-873-5224    
Steven Jay Landau, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 707 Bryant St, Statesville, NC 28677
Phone: 704-873-5224    
Angelia Smith Natili, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 707 Bryant St, Statesville, NC 28677
Phone: 704-873-5224    
Ronel Rocha Enrique, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 556 Kitchings Dr, Statesville, NC 28677
Phone: 704-838-8255    

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